P Praxis·MD
● Active Type 2 · Organization

Ambitions Of Idaho, Inc.

Clinic/Center·Coeur D Alene, ID· NPI 1689133050 · Enumerated 2019 · 7 years on NPI
Ambitions Of Idaho, Inc. is 1 of 326 clinic/center organizations in Idaho.
NPI age
7 years
Enumerated 2019-03-15
Primary specialty
Clinic/Center
Practice locations
1
0 secondary on file
Status
Active
No deactivations on record
Authorized official
Hagel
President
Last NPPES update
2019-03-15
Source: monthly bulk 2026-05

How this organization compares

Across 326 active clinic/center providers in Idaho.

NPI age
7 years
↑ 2 yr above median
Practice locations
1
0 secondary on file
Subspecialties
0

NPI lifetime · 2019 → 2026

2019-03Enumerated in NPPES
2019 2026

Where they practice

Primary practice location
1044 Northwest Blvd Ste F
Coeur D Alene, ID 838142165
📞 2086769395fax 2086769385
Mailing address
1044 Northwest Blvd Ste F
Coeur D Alene, ID 838142165
📞 2086769395fax 2086769385

Authorized official

Shane Hagel
President
📞 2086769395

Individual providers at this organization

2 individual providers on file at this primary practice address.

Specialties

  • Clinic/Center Primary
    Definition to come...
    taxonomy 261QM0801X

Practice context

Multi-provider organization. 2 individual providers on file at this primary address.

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How to verify this organization

  1. Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
  2. Verify the organization is in good standing.Cross-check with the state's business registration and any applicable licensing boards.
  3. Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.

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